Poeppelman, Randee L

Poeppelman, Randee L is an individual health care provider with primary practice located at 13275 W Colonial Dr , Winter Garden FL 34787-3984. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Poeppelman, Randee L can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
13275 W Colonial Dr Winter Garden FL 34787-3984
Phone: (407) 905-8827
Fax: (407) 654-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12688 Florida

Profile Details

NPI number 1619223542
LBN Legal business name Poeppelman, Randee L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Jul 28th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619223542 NPPES
Florida MEDICAID 016974400

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